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HomeMy WebLinkAbout0085 CARLOTTA AVENUE i \ J qyr�e 2�qTown ofBarnstable *Permit# Regulatory Services F ee 6morrthsfrom issue date 9 nv+a9 g Richard V..Scali,Director �! ,� & Building Division //~~ ' Pant Roma,Building Co39. mmissionef 0Am j 3 200 Main Street,Hyannis,MA 02601 �� www.town.barnstable.ma.us Office: 508-862-4038 °' �Q8-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �I I C Not Valid without Red X-Press Imprint Map/parcel Number(' ` 7Residen Address l�SC �Lo -iiA, AU w 1 0\4J�1 4o ' L ( tial Value of Work$ �7 C o6 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1 r U0 -1A A Avg Contractor's Name Y1 yA N NN S 00(11) 1 Telephone Number Home Improvement Contractor License#(if applicable) It7 �3 Email: Construction Supervisor's License#(if applicable) ❑Worlmian's Compensation Insurance Cheek one: [�I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insiirance- Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Recy6st(check box) ® Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 0 O'(S� y ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof). ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value •(maximum 32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. 'A copy of the Home Improvement Contractors License&Construction Supervisors License is r quired. SIGNATURE: ^ Q:IWPFILESTORMS\building permit forms\B:URESS.doc 01/25/17 ONTW eC , 600 Waskagtart Street BasvY4 MA Oz ormation Please CitgfStatet�- 1U, SAS•f 1-1 A Phdm� `1 't 3. 3 —1 Ariz you an employer?Ckeekthe,appropriate bay L❑ I mn a 1 with. 4 El am a general ca�ckm and I Type of[:]New project(regtm ed}: P * 'have the suls-coma nrs 6. 2de� fall aa�for Mt-ime. Z.[i I am a sale prvpsietas arpartnw- listed,douthe attached sheet 7. ❑ PPnAdelsag sh£p and have no employees these sub-coatractas have g_ ❑Demolififla , . • wading forn]e in any caparif9: eraglCyew and.have vadcer a 9..Q B.uild�addi6 M INdr ty�'comp insurance c"PP_."=ra_._ reed 5. We are a=zpom ifla and ifs 10-El ElecEEicai repairs or adQ ons 3-❑ I am a bameazmir doing aft vmik o$cers have exercised their ' 1L❑Phaabiugrepaim or adclid am ' F �Myself mo o wod is' t of esenxdza per M-GL , d-]T c:M§1(4�andwehaveno 1? Loaf�a employem[No ' i3-E]other cOmg iamn im require&] 'dap agp�ra��stcSeds72=#lmastalso :PUHWk5-9a— ] aeis�osaltdrisxTulnu` Spey Rmdaa--allw sadL TCaatzs�sffir1 d�ecT<Sus box sn addidional sIrrgY s5axiagti�aameof the s¢b cam and sty tr]�thec araate 1 employees.I€thas chase-Mkg-%dWy=15tpmsidetlea uvrbm:e gyp.paEW mnnbM lam aneuipFayertliatisprauiriir-markets'carr esr�iarcgtsrirages nrmyemPb>f�ex $clots+ist7ispalicp jab sus tn•jarmafinrt . . - IMSMMnM CCmpRqYI&Ir=- 1Cy4Ior Self-ia€Jiev nDafe: Job Site Address= Ci *15tafeE , Attach z capp of fie warkere caimpeusalionpoUcy dedEara4i as Me(showing the p a1icy,amber and eapirafiva bate). Fail=to sera m cavefage as regzzFre�inuder SezEi�25t3 of�GI,c 157 can lead tv the iaFposifiC a Qf crimiaai peCalEses of a fine up fo$L 54a dQ sadtar daxsie-yeasimpdsoum is the farm cifa STOP WORK fllDERand a fm o€up#a a 4y agamst the vio]awr. Be advised'gid a arpp oftbis,sf deme mpyba forwarded fa the OM a of ltrvedigations oft DIA fay msnrance coverageseriEraion. yrfa fterziry Hadar thepaw ofPCOury fhatthe igfomrratriva-pro &W abm a fs h=and correct EWL- PhMe ik- Officid use arjf i7a j�rst Crete t afea,€rt be ca�ripietesr€6p city artatrn a;�at Cky ar Yawn: PCTnifff+iLense;9 Lnui ng Amffiority(drde flne): L Bond of Rk21 li I lluffilng Deparbnmk 3.fdji ravvu Clerk 4�Mectrical Lector S.Pbrmbing r C.Other C0m32ct Person: MOW#- 1 fi 1 1 1 1 1 i 1 1 •.:I.1•A�t1. - 1�'. - ■-I/i� �•■■/�+ _I •+.11■ ■•wR [I •r •• •- •••1■7i�R .an.n slal..■••la f•t [. f w,■.1• •• - - ■/R.71 II i■ ■ JI•■■. n■■� ..■ run■ :r •M ■■■ w-u: �... • nn■ -• ur: a ••■ntr■ • ■ i�u • •i A ■au■�■ : -u u n mr_ ■•■ n wR un _v•wr_n n■ .•1 •ur-n.0 u ■%■� _ a;u■a •t _u •.■ a n n - . - •1 �. .urn•� • _ ■� �c �■ a+w. ■•r n %■ ■■ fa7 - •■••' �•J'.�• 1■ •.■a waI■�+ • •t.A' .I.■ II 1■•■i■_ n _ - � • • ■ ■ '�- ■ :11 i.•.• ■It- •Ja•■rR•■n .A�.•w_I■•Il 11 .1%\ _l :�a1.f iln[l ■• 11: �atn •` i•.. to ■••■w • - ■• - '■.•= ■•1 ■ '1■ •• tt•1 - ■.:It fi■ i _l•.I ■n�•1.. :n• ••.• wY.�•- n plat ■1 ■■ •.ra[■ ■■1 • ■■ ■ -1 It' a■■ •" • :u■ t� •.a• An. • 1..w•1■ Il ■t u.nalait.n r •r■ r ■ t w u •.n •'■•. ■u ■ . ■'•- I.n: ■•■A" • ••1■ a■ 'J •■■/■ rJ •r1 ■■f :I■•■1 f�V■.nl �■� 1•• ■ 1 ■■ •rr'.1. • ■ -t i+nn ••■I I.1 ■- ■��•■�■ ■■ /- ..■ �!tal■ •• /Ci ■'l■■� • : • f:ll:.. as:l � - - - [ " t - •• - \ �/ . •- .na •t ■. .n" ■ IA•111�..\ 1 .. r••A■ I Y .n ■ 1. _ n 11 r.ll.n ■ ■ ■I • • _ • / V I a . • 1 1 ■ t■ 1 r"t r / Y . - - ..:I . 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Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-190-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property �rr hereby authorize % Y C 0 to act on sny behaA in all matters relative to work authorized by.this building permit application for. Carl .Let. AeAlonxzs . (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. isoreof et eSignature of Applicant Ina C Y Print Name Print Name ' 1t Date Q:FORMS:OWNERPERWSSIONPOOIS Town of Barnstable Regulatory Services p1F Richard V.Scab,Director Building Division DAMMAM& = Paul Roma,Building Commissioner as039.9 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOME_OWNER LICENSE EXEMPTION Please Print DATE: -.JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: ' city/town state aP code The current exemption for"homeowners"was extended to include owner-occupied dwellings of sic units or less and to allow es not possess a license rovided that.the ow ner acts as ervisor. homeowners to engage an individual for hire who do p ,� �P DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- f a ily dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form the Building Official,that he/she shall be re onsible for an such work erformed under the building permit. (Section acceptable to g a1, sP P g° eP 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction ControL HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shal"ct as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing.Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as,Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community- . r Q:\WPFMES\FORMS\buildhig permit forms\EXPRESS.doo 06/20/16 I f Massachusetts Department of Public Safety Board of Buiiding Regulations and Standards License: CS-105628 Construction Supervisor, ' CLIFFORD J COLBY " 19 MONUMENT ROAD ORLEANS MA 02653 e? � Expiration: Commissioner 04/24/2018 • (64e W—zowevealml a� aadctc�zicaACla `Office of Chi umer Affaits&Business Regulation j HOME IMPROVEMENT CONTRACTOR Registration':,;',. 1.,83137 Type: a Expiration—ggG17 Individual _+--- , CLIFFORD J.COLBIf 4. CLIFFORD COLBY ,`,_= 19 MONUMENT RD —'_ •: '• Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain j! w less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: VVM.MASS.GOV/DPS • I. License or reg►stration valid for individul use only before the expiration date. Tf found return to. Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 01116 i valid wi out signature pip CAPE COD TOWN OF BARNST ABLE E 20I4 JUL 78 Af1 .8: 3.9 ' 11Y1R04Y1 StAMlLiS SPRAY FOAM 1u L!(n RLQ - - ,YAm uurtsRs insuuuan caunas _ 1-800-696-6611t 'C'own ofBarastable Regulatory Services Building Division 200 Main St Hyannis, MA 02-60.1 Date: Deer Building'Inspector Please accept this Affidavit as documentation that Cape Cod Insulation Inc. performed &. P comp leted the insulation and weathenzation work at the property listed below. Cape Lod Insulation did this in accordance to the specifications listed on the building permit F application. All work has been inspected by I certified Building Perfonnanee Institute (BP•l) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village s I11SUlation Installed: .Fiberglass Cellulose R-Value. Restricted,. Unrestricted',r , Ceilings ( ) ( ) { ) ) Slopes ( ) Moors 4 Walls ( ) (X) (/s'') (X) ( ) } Sincerely lle , L Cas- y Jr, President C'` e Cod I , ulation, Inc. i 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I Application # Q.6 QS l J Health Division 201 •. # Y 27 AM O 2 bate Issued Conservation Division Application Fee Planning`Dept. {cy{- � p Permit Fee 9 Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis , � Project Street Address �� �/�l2,L 2 O?et/ Village� Va/d Owner _ e�/r4: 1,v �g �,>' Address Telephone L� 4t-7it ,��'3 Y Permit Request 4,2 e2L_ d�,ge 1�0 .Square feet: 1 st floor: existing - proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2" Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes B'No On Old King's Highway: ❑Yes ®-No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ Na Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 44 4 Zi Telephone Number `:2 V;�F Address /X License # Home Improvement Contractor# M 0 Worker's Compensation #����lJ✓"�� ��� ■ ■ Y rr■a u ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE � 7�/ �-- S - FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED MAP/PARCEL NO. i r ADDRESS VILLAGE F OWNER c G �. DATE OF INSPECTION: _.FOUNDATION: FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING e DATE CLOSED OUT ASSOCIATION PLAN NO. • yK � w _ mass save PARTICIPATING �tcs:!vCac t M+nrsy c.Ki�o>;» CONTRACTOR PERMIT AUTHORIZATION FORM I, Faith Ingalls ,owner of`the property located at: (Owner's Name,printed) ` 85 Carlotta Ave Hyannis (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. X G ' � Owner's 4gnature Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home.Energy Services Participating Contractor to the above referenced project:. OAK w1) 13 Participating Contractor Date 0l0: For Office Use Only Rev. 12132011 assachusetts -Depattmsnt of Plablic Safety Y . vi.��oiard of Building Regula#ions end Standards yConstruction Supervisor •fie + License: CS-100988 HENRY E CASSIPY 8 SHED ROW WEST YARM017FH� �2 Expiration Commissioner 11/11/2015 _ Office,of Consumer Affairs and Business Regulation a 10 Park Plaza - Suite 5.170 Boston,Massachusetts 02116 Home Improvement Cqn;ragtor Registration Registration: 153567 Type: Private Corporation 'Q E. Expiration: 12/15/2014 Tr# 233831 CAPE COD INSULATION, INC. ' { HENRY CASSIDY 18 REARDON CIRCLEt $0. YARMOUTH, MA 02664 Update Address and return.card.Marls reason for change. 'n . ..-- ,Address n Renewal ❑ Employment Lost Card �'��r `f�iuriz"rrr.rarrcaecclC�c�CY6l L Office of Consumer Affairs& Business Regulation. License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: t2 gistration: 1*53567 Type: Office of Consumer Affairs and Business Regulation xpiration: 1.2/1$/2014 Private Corporation 10 Park Plaza-Suite 5170 Boston,,MA 02116 CAPE COD INSULATI,QN I", HENRY CASSIDY 18 REARDON CIRCLE SO.YARMOUT 1, MA 02664 Undersecretary f val• wito t nat re _ i i CAPECOD-27 CVANGELDER CERTIFICATE OF LIABILITY INSURANCE DATE 4/112 Dl1^lYY) I112014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT.CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Cape Cod Commercial Rogers&Gray Insurance Agency,Inc. PHONE PAX 434 Rte 134 A/C No Ext: A/C No): (877)816-2156 South Dennis,MA 02660 EMAIL - ADDRESS: INSURER(S)AFFORDING COVERAGE. NAIC N INSURER A:Peerless Insurance Company INSURED INSURER a:COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURERC:Evanston Insurance Company 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth,MA 02664 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO,WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY.HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOLSUBR POLICY EFF POLICY EXP _ - LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS, A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _ CLAIMS-MADE o OCCUR - C13P8263063 04/0112614 04/01/2015 GE�ra-REpTE6- 100,00 PREMISES Ea occurrence $ - MED EXP(Any one person) $ 5,00 — -- —_ PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY n JE LOC PRODUCTS COMP/OP AGG $ 2,000,00 OTHER: AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ - Ea accident B ANY AUTO 14MMBCKVMK 04/01/2014 04/01/2015 BODILY INJURY(Per person) $. ALL OWNED X AUTOS SCHEDULED AUTOS BODILY INJURY(Per accident) $ T 1 OOO,OO X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $.. 1,000,000 C EXCESS LIAR CLAIMS-MADE R/O XONJ453512- 04/01/2014 04/01/2015 AGGREGATE $ DED X RETENTION 10,000 Aggregate 1,000,00 $ $ WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY - - - STATUTE I ER - D ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCA00525904 06/3012013 .06/3012014 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? Na NIA .. (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under - - - - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additlonal Remarks Schedule,may be attached if more space is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under.the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EVIDENCE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ::. The Commonwealth ofllfassachuserts I r Department oj'Indusrrial,accidents T OjJice ofInvestigations 600 FVashington Strut. <' Boston, MA 02111 www.1nass.gav/ditz ��UY'lwlr3' ':oY�utPeusat" fusur:tnce Affidavit: Bu lders/Contratctors[Electricianiii,ialI nlyery . Please pr►q� N'41t ,t �Viu;incss/Or1;u, icatiot>/iudividual): <���,'�C' �/ i Phone#: -5 72- 6F 7 j7,5- / 2 r_.A,c ►t,U sty atY,y;loyer',' Check the appropriate box: -•, Type of project (rcqulred):. r.,uptuyt;r with. 4. [� l a,11 a general contractor and.1' Ctnployces Mull ancjstoe part-ti.rne).* have hued the-sub contractors 6• ❑ New construction a,olu proprietor or paruier- listed on the attachedsheet. 7.. ❑ Remodeling a,td have ao Crnployet's These sub-contractors have 8. ❑ Demolition, F workuig for rite iu any capacity. employees and have workers' [Nu workers' comp. insurance. comp, insurance.; 9, ❑ Building addition i�tluir�d:] 5. [] We area corporation and its l0.[] Electrical repair's or additions l.t111 a hor►leow-ner dottl * ill work officers have exercised thou � Lill 1 1 :❑ Plurribir,b repairs or atlditioris ,uysclf. [No workers' comp. right of exemption per N1GL S2 c. t 1 , 10), and we have no t 2.❑ Roof repaix3 u:t, uaanCr rc:qu-ircd.] � hotrtcowncr actin; as a employees. [No workers' 13j aOther U S r ycucrul contractor (refer to #-4) comp,insurance required] �.uy�I,{�lic wt d,at checks box#'I must also till out the section below showing their worlten'cotupwsatiotlpolicy infortllaniott. `ttu,u�vwuus who submit ttli3 affidavit indicating they are doing all wort and then biro outside contractors must submit it uew utlitlavic indicating such.' �: ,,uti:wn fiat chc.k thi bax must at'tuchctA au add-itiunal sheet showing the nano of'tho sub-coup-u:tor,S and staxa whether or not those catities twvc :,,y,l,yccx. IY tl,a sub tiontnu furs have ctnployecs, they must provide their workcr3%comp.policy number. rmployrr that is providing workers'comcperrsatitirs insurancem 2rlow i a;' policy and job site rrr�u,a,utru,t, lnsurartc� Cou,ptu,y N:lmc: Pohq if Of Self-ins. l ic. 4:/. ' ? �� �'' �- t xpiration Date: ioc) �ttc :kd(hels: w City/statezip_ Ari;iCit s Cups of the workers' coiup�--Usaaioa policy declaratiou page(Showil.ng the policy atimber wid expiratiou'da(c). z 1k atltuc to soCtuc-coverage as required under Section 25Aof MU c. 152 can lead to the:unposltiotl,of crunuaal pCtlaltiGs of a 1111c,t,p to i;1,500.00 nnd/tar one-year imprisonment, as well as civil'enaltiea in the form of a STOP WORK ORDER and a line -r tip to'S250.00 it day against the violator. 'Bc advised that.a copy of this statement,may be forwarded to the Otfice of nvcsaganonx of the DIA for insurance coverage verification. c l du ircrrby eerrifjv;µrrufKr lhc�7�1�14ndpenalties'of perjury lhw the:informadon provided above is true and currcc4 odic, 4J cast only. Do riot write in l/rat area, to be completed by city or town off,cia2 <iry or 1'uwu; ..___.._ Permialcense# 113014,g Authority (circle 0.0e): _-- t. lio,trtl o!Health 2. Building Depurtmeut 3. City/Toivu Clerk 4.Electrical In3pector 5. Plumbing Inspector b.Other •l'uutaCt 1'ersutt: -.---.----______ Pboac#. Town of Barnstable Regulatory Services P Thomas F.Geiler,Director s�xxsresrs, Building Division r� 1M� Tom Perry,Building Commissioner o6�° 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: 3S'e -D Permit#: HOME OCCUPATION REGISTRATION 2 Date I J J J 5��- 07 Ono- Name: Q ( ' I l S Phone#: 50 o - T l 9 -j 5 3 3 0) Address: v CQ r O+ Village: ► 1 1 Name of Business: -1�n S h-u C I o c 6 PS ,f ( / Type of Business: G J'U U c Gl.�l (SY�.( �(}Zj IS Map/Lot: �P ' INTENT: It is the intent of this section to.allow the residents of the Toi-im of Barnstable to operate a home occupation FiZthin single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discenible from outside the divelluig. there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other thaui a residential use;no increase in traffic above normal residential volumes; . and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carved on by the permanent resident of a single family residential dwelling unit,located'Niithii that dwelling unit. , • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling w1iicln are not customary m residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,ui excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot contauning the Customary Home Occupation,and not within the required fiont yard. • There is no exterior storage or display of materials or equipment.- 0 There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing die Customary Horne Occupation. • No sign shall be displayed indicating due.Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. r • No personshall be employed un the Customary Home Occupation who is not a perrnannent resident of the dwelling unit. I, the undersign ,Have read and agree with the above restrictions for my home occupation I am regiistterung. Applicant: Date: / /3-1 Homeoc.doc Rm-.01/3/08 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A.business certificate ONLY REGISTERS YOUR NAME in town (which'you A must do by M.G.L. -it does not dive you permission to operate.) You must first obtain the necessary signatures on this form at 200 tvlain St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st Fl., 367 Main St., Hy innis, NIA 02601 (Town Hall) and get the Business Certificate that is '\ required by law. , 71 DATE: J _ Fill in please:Morse- BUSINESS a+ i APPLICANT'S YOUR NAME/S: - I Yl G S YOUR HOME ADDRESS: - S /M i cz 508--1-12 -55-F;3 z ar re.s+ d4-t.e yg -yy flr�� TELEPHONE # Home Telephone Number t NAME OF NEW BUSINESS Ji TYPE OF BUSINESS FEA LA C G.7H cn-, GL O S IS THIS A HOME OCCUPATION? >Q YES NO ADDRESS OF BUSINESS 95 Aye, s MA MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to,assist you in obtaining the information you may.need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDI25.R�S OFF cE MUST COMPLY WITH HOME OCCUPATION Thisin_for 4 an per it requirements that pertain to this type of busine L,ES AND REGULATIONS.-'FAILURE TO ed ign ** COMKY MAY RESULT IN FINES. ` .COMMENT SrOil 2. BOARD OF HEALTH This individual h( infor e of he p r itee is that pertain to this type of business. Authorized Sig ature* COMMENTS: MUST,-:,OMPLY WITH ALL K47ARDOUS MATERIALS REGULATInNiq 3. CONSUMER AFFAIRS PqENSING AUT _ORITY) This individual ha e informed he lice sing requirements that pertain to this type of business. thorized Si nature* COMMENTS: i Town of Barnstable *Permit# 0 ? 7 � rxpbw 6 eseeth,%,rm date = Regulatory Services Fee ' ° �� Thomas F.Gather,Director Building Division Tom perry, Building Commissioner 200MWA Street, Hyann,NIA 02601 15���,��C N Office: 508-862-403.8 �00 Mad Fax: 509-790-6230 Z 0 I /�0N EXPRESS PERMIT APPLICATION - RESIDENT ft Not YaW without Red X-,Pry bnprha * aplparcel Number 2 MAO opeM Address 05 t lv /QfOa�[!1 tdential Value of Work `�� ©� Minimum fee of•$24.00 for work under$6000.00 wY►er's Name&Address5, �ntractor's Name//D ,�� '�'' iA'r d �' 5 JA: Telephone Number s � � ome Improvement Contractor License#(if applicable) ZL9 c9G -� onstruction Supervisor's License#(if applicable) ]Workmaes Compensation Insurance Check one: = �] I am a sole proprietor =f I mn the Homeowner I have Worker's Compensation Insurance Cx. virance Company Name Torkman's ConV.Policy# 'opy of Insurance Compliance Certificate must be on file. ermit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris wilt be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side rP-epWem=t windows. U Value (maximum A4) 'Where • Issuance of this t does not / �• > comPlituce with other town deportment regtilations,i.e.Historic,Cwtsavation,etc. ***Note: Property Owner mast sign Property Owner Letter of Permission. 4,177 ovement Contractors License is required. ignature zvise063004 r F+. • s�ansruos, • MASS. Tho mas F.Geiler,Director ►,,� Building Division . Tom Perry, Building Commi--!!---- 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m&us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 7-� r2 ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name j Q:FORMS:OWNERPERMISSION i �w*+>s1�NiPV 6S£OE VJ'V1NVI-% ow A A)m vm3-rm sew OOZE 3.LLmr V . OWoS WAGWW WdeU aUMH 3Hl We'J luemopdrr$ mal 80OUEf0 monamOR cow& :YopMMOsN *)JLDVULHOD JLN3N3AOWNI MON qIWPMM Pan"Olosam Sumung Jo P+rou .� 3 , Ike or registmdm valid for indbidul use only before the expiration data H found return to: Beard of BWbftg Iepdatiose and sbummnk Oat Adibureaim Place Rm 1301 Boston,W 02108 fNot valid without signature , TI Ulshoeffer, Elbert From: Ulshoeffer, Elbert To: McKean Thomas Subject: RE: Housing Complaint Date: Wednesday, May 30, 2001 3:32PM 2:30 is fine Tom. Perry will meet Ed at the site. From: McKean Thomas To: Ulshoeffer, Elbert Cc: Geiler Tom Subject: RE: Housing Complaint Date: Wednesday, May 30, 2001 3:12PM Ed Barry is in charge of housing complaints at this time .. : he is available to go out tomorrow afternoon at 2:30. Is Mr. Perry available at that time? From: Ulshoeffer, Elbert To: McKean Thomas Cc: Geiler Tom Subject: RE: Housing Complaint Date:Wednesday, May 30, 2001 2:29PM Tom,Tom Perry is the inspector in this district.... if you like you can have your inspector contact him with time to meet , They can then give Tom G, a report .. From: Geiler Tom To: McKean Thomas; Ulshoeffer, Elbert Subject: Housing Complaint Date:Wednesday, May 30, 2001 1:51 PM I received a complaint from a neighborhood association , through a Councilor, about the condition of two properties on Carlotta Ave. The street numbers are#58, supposedly the worst, and#85. Please assign a Health Inspector and a Building Inspector to go out together and look at these properties. Please let me know the end result. Thanks 7W P67 Page 1 r Ulshoeffer, Elbert From: Ulshoeffer, Elbert To: McKean Thomas Cc: Geiler Tom Subject: RE: Housing Complaint Date: Wednesday, May 30, 2001 2:29PM Tom;Tom_P_erry is-.the inspector in_th is.district.-..-if,you like you can have your inspector contact him with time to meet , They can then give Tom G, a report .. From: Geiler Tom To: McKean Thomas; Ulshoeffer, Elbert Subject: Housing Complaint Date: Wednesday, May 30, 2001 1:51 PM I received a complaint from a neighborhood association , through a Councilor, about the condition of two properties on Carlotta Ave. The street numbers are#58, supposedly the worst, and #85. Please assign a Health Inspector and a Building Inspector to go out together and look at these properties. Please let me know the end result. Thanks J 0 Q - � I ' N Page 1 `ASS@SS�r s 'map_ and lot '•-number .41 Sewage Permit .number .......... . F�L .. ?�OfTHETo�y TOWN OF BARNSTABL:E "�` 4s B'UI'LDING INo- FECTOR i63q. s �� e. �p \0 �'E YPY a• «, tn. � • APPLICATION=FOR PERMIT .. :✓.�—....C.! ?�M. . ./�1.. ."........a p.�. ......... ............... �.. TYPE OF CONSTRUCTION .4. .. .. .. S..U/�. ...... .... ...�...... ,. ... .. ..:... !- .�d.......... ..... ......: ................1977. r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a• permit according to the/following / information: Location ........ � ��UE 1 ..... V1� �N l^�..............: ........... . ...... y......... .. .... ..................... ........................................... �jj 0 ProposedUse ............. ................d....'...:.............................................:.................................................................. Zoning District .....a.16.......................................................Fire District .... ................................ Name of OwnerP .d ... I �.. .. . .Address ......................T7., ,��................................. Name of Builder ....... .. .. ..................:.....'...........Address Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ...........:........:......................................................... Exierior ....................................................................................Roofing .................................................................................... Floors ................Interior ............... Heating ........................................................_......_........._........Plumbing ...................._............................................................. VFY Ag Fireplace ..........Approximate Cost v d 1 ..........................G ................................ Definitive Plan Approved by Planning Board --------------------------------19--------. Area ....l.. ....... Nd....... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �3 I hereby agree to conform to all the Rules and Regulations of the Tow'^n of Barnstable regarding the above construction. e Name4. .........., ... ................ .... ........ Cormier, Charles r 17201 ate swimming No ................. Permit for ........P. . ..................... g PA91............................................................... Location ..........85 Carlotta Ave.................... ......... ................. .........................ji1'.a?d u i.*....................................... Owner Charles„Coranier.................... Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .,,,,, July 11 1974 ....................... Date of Inspection .....................................19 Date Completed ��... ...............19 PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... ............................................................................... ............................................................................... Approve ................................................. 19 ............................................................................... ............................................................................... �Assess;r's map and lot number .......:.......!. ..�;� Sewage Permit number .............. ........................................... yO�TNE TOWN OF BARNSTABLE Z BARNSTABLE, i "6 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...................... ....................................................................... ................................... TYPE OF CONSTRUCTION A 6...... ........................... .. �` ` ..�' ... . .................t9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for s-�a• permit. accorrding to, tyh�e followiin/g information: 4 Location ........h?.. ...'. ......L:.. 71... .... t`R........d /:. !al..I ...........................:......................................... '. y Proposed Use &--VATI...... ................................... Zoning District .... .: :...............::................ ............'...:..Fire District ...: ... !V,...i . `.. ....... ..................... Name of Owner .........1' ......... .................... ....... :.......Address ..................... ;..1 , t � Nameof Builder .......... .. ...! .E '........................... .........Address .......... ......... ..................:...........:............ ............... Name of Architect .................................:..............................:.Address �...............................................: :....... .^ ......................... Numberof Rooms .....................................: Foundation................ .................................................. .......................... Exterior ....................................................................................Roofing .............................. 1. Floors ......................................................................................Interior .................................................................................... Heating :..........:...... .....:................ Plumbing .............. ................................................................... Fireplace .........Approximate Cost ...................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area ....4f....... t4�?w....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH c� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ^� Nam4r , ........,...... �_ ............................................ Cormier, Charles F.. 17201 p*x private No ................. Permit for .................................... 1 swimming pool ............................................................................... Location 85 Carlotta Ave. ................................................................ Hyannis ............................................................................... Owner Charles Cormier .................................................................. Type of Construction .......................................... ................................................................................ Plot ........................ Lot ................................ Permit Granted ............Jnly..11.............19 74 Date of Inspection ....................................19 Ir Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... .................... ......................................................... {